Task-shifted approaches to postdiagnostic dementia support: a qualitative study exploring professional views and experiences

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dc.cclicenceCC-BY-NCen
dc.contributor.authorWheatley, Alison
dc.contributor.authorBamford, Claire
dc.contributor.authorBrunskill, Greta
dc.contributor.authorHarrison Dening, Karen
dc.contributor.authorAllan, Louise
dc.contributor.authorRait, Greta
dc.contributor.authorRobinson, Louise
dc.date.acceptance2020-08-05
dc.date.accessioned2021-09-14T10:01:23Z
dc.date.available2021-09-14T10:01:23Z
dc.date.issued2020-09-21
dc.descriptionopen access articleen
dc.description.abstractObjectives To explore the views of commissioners, service development leads, service managers and senior staff in selected dementia services on increasing the role of primary care in postdiagnostic support for people with dementia. Design Qualitative semi-structured telephone interviews and a focus group. Setting Participants were drawn from National Health Service (NHS) Clinical Commissioning Groups, social care commissioning and a range of dementia services across primary care, secondary mental healthcare, social care and the third sector. All participants were based in England or Wales. Participants 61 professionals, comprising 25 commissioners or service development leads; 25 service managers; and 11 team leads or senior staff. Results Participants had varied views on whether a primary care-based approach for postdiagnostic support for people with dementia and their families was appropriate, achievable and/or desirable. Potential benefits of a task-shifted approach were continuity and a more holistic approach to care; familiarity for both patients and staff; and reduction of stigma. Key challenges included the capacity, ability and inclination of primary care to deliver postdiagnostic support for people with dementia and their families. We discovered a number of conceptual challenges to implementing a task-shifted and task-shared approach, including uncertainties around the nature of postdiagnostic support, the definition of primary care and identification of tasks that could be shifted to primary care. Conclusions Our data highlight the concerns of key professional staff around greater involvement of primary care in postdiagnostic support for dementia. Further research is needed to achieve a shared understanding and consensus over what postdiagnostic support means in the context of dementia. We will be undertaking such research in the next phase of our programme.en
dc.funderOther external funder (please detail below)en
dc.funder.otherAlzheimer’s Society Centre of Excellenceen
dc.identifier.citationWheatley, A., Bamford, C., Brunskill, G., Harrison Dening, K., Allan, L., Rait, G., Robinson, L., The PriDem Study project team (2020) Task-shifted approaches to postdiagnostic dementia support: a qualitative study exploring professional views and experiences. BMJ Open, 10, e040348.en
dc.identifier.doihttps://doi.org/10.1136/bmjopen-2020-040348
dc.identifier.issn2044-6055
dc.identifier.urihttps://dora.dmu.ac.uk/handle/2086/21257
dc.language.isoenen
dc.peerreviewedYesen
dc.projectid331en
dc.publisherBMJen
dc.researchinstituteInstitute of Health, Health Policy and Social Careen
dc.subjectpostdiagnosticen
dc.subjectDementiaen
dc.subjectqualitative researchen
dc.subjectprofessional viewsen
dc.subjectdementia supporten
dc.titleTask-shifted approaches to postdiagnostic dementia support: a qualitative study exploring professional views and experiencesen
dc.typeArticleen

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